Complication | Incidence | Preventive measures |
Brachial plexus injury | 2-15 percent | Minimize sternal retraction |
Attention to patient position | ||
Padding arms | ||
Stroke | 0.4-6 percent | Conduct of cardiopulmonary bypass |
Minimize duration | ||
Hypothermia | ||
Alpha-stat pH management (?) | ||
Minimally invasive procedures (?) | ||
Avoid perioperative hypotension | ||
Preoperative screening | ||
If significant carotid stenosis consider: | ||
Preoperative stent | ||
Combined CEA/CABG | ||
Avoidance of emboli | ||
De-airing maneuvers | ||
Minimize aortic trauma in patients with severely calcified aortas | ||
Monitoring | ||
TEE | ||
EEG/EP (?) | ||
TCD (?) | ||
Ophthalmologic | Clinical 0.1-25 percent | Same as stroke |
Angiography 100 percent | ||
Delirium | 3-32 percent | Minimize: |
Sensory deprivation | ||
Benzodiazepine/narcotic use postoperatively | ||
Disruption of sleep-wake cycles | ||
Watch for metabolic encephalopathies | ||
Electrolytes | ||
Renal dysfunction | ||
Hepatic dysfunction | ||
Watch for withdrawal syndromes | ||
Subtle neuropsychological | 10-79 percent | Same as stroke |
Intracranial hemorrhage | <0.1 percent | Wait 2-4 weeks after new stroke before surgery if possible |
Seizures | 0.6 percent | Avoid: |
Hyponatremia | ||
Hypocalcemia | ||
Hypomagnesemia | ||
Avoid withdrawal of: | ||
Benzodiazepines | ||
Barbiturates | ||
Avoid toxic doses of: | ||
Lidocaine |
آیا می خواهید مدیلیب را به صفحه اصلی خود اضافه کنید؟